Individual provider Active NPI

Emily R Malkin, D.P.T.

  • Orthopedic Physical Therapist
  • Wellesley, MA
National Provider Identifier
1720336316
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
20206 Issued in MA
Practice address
204 Worcester St
Wellesley, MA 02481-5473
Phone
(781) 772-2406
Fax
(844) 912-8608
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 20206 MA Primary

Addresses

Primary practice location

204 Worcester St
Wellesley, MA 02481-5473

Mailing address

4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

203 Oak Street
Natick, MA 01760-1306
Phone (508) 651-0051

Other practice location 2

425 Centre St
Newton, MA 02458
Phone (617) 244-1990

Other identifiers 1

IdentifierTypeStateIssuer
20203OtherMAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130220000061 MA Practitioner - Physical Therapist in Private Practice 3678728839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Joint Ventures Physical Therapy IncGroup PAC ID 2163474560, 62 clinicians

Practice addresses (Care Compare)

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630

204 Worcester St
Suite 200
Wellesley, MA 02481-5420
Phone (617) 536-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20206MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Orthopedic CurrentSince Jan 19, 2026 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Orthopedic CurrentSince Dec 2, 2019 Accepting new patients
Joint Ventures Physical Therapy, Inc. Orthopedic CurrentSince Jul 19, 2021 Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Silver Fern Practice, LLC CurrentSince Jan 19, 2026 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC PastSince Dec 1, 2019 Accepting new patients

Locations

648 Beacon St
Boston, MA 02215
Phone (617) 353-9345

425 Centre St
Newton, MA 02458
Phone (617) 244-1990

250 E Main St
Norton, MA 02766
Phone (508) 285-5533

99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

204 Worcester St
#200
Wellesley, MA 02481

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

4 Richmond Sq
Providence, RI 02906
Phone (401) 885-2821

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1720336316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815473",
            "telephone_number": "781-772-2406",
            "fax_number": "844-912-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Oak Street",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017601306",
            "country_code": "US",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Centre St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "02458",
            "country_code": "US",
            "telephone_number": "617-244-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "EMILY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "20206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "20203",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.